Organization
COLUMBUS CARDIOVASCULAR CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J BOLAND M.D. (OWNER)
(662) 240-1412
Entity
Organization
Contact information
Practice address
255 BAPTIST BLVD, SUITE 402, COLUMBUS, MS 39705-2011
(662) 240-1412
(662) 240-1949
Mailing address
255 BAPTIST BLVD, SUITE 402, COLUMBUS, MS 39705-2011
(662) 240-1412
(662) 240-1949
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115039
—
MS
Enumeration date
08/15/2006
Last updated
07/05/2008
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